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APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT ?ERtArTP10. U' DoZ� ray <br />����.:- 1✓'1 i j'/ � / i. ! /�G_� 1/ � � �% /� / � r PAGE NO. <br />LOCATION <br />SEC <br />TWN <br />RNG <br />MAP <br />10 <br />COMMODITY <br />ACRES/ <br />UNITS <br />PESTICIDES <br />PESTS <br />F- <br />M" <br />RATE <br />DILUTION/ <br />VOLUME <br />APPL <br />DATE' <br />TIMING <br />7' -Lr � ! H-1 <br />8. <br />-71 <br />r <br />n_ <br />9. <br />13. J <br />C1 <br />v <br />14• <br />/ <br />Li <br />! <br />17. <br />18_ <br />I <br />I <br />19. <br />20. <br />21. <br />22. <br />23. <br />24. <br />25. <br />26. <br />27. <br />28. <br />29. <br />30. <br />31. <br />Omluidnun: L -Liquid B -bait D -Dust F -Fumigant G -Granules <br />WP -Wettable Powder O -Other <br />"Method: A -Air F -Fumigation Gr -Ground 0-01her <br />DISTRIBUTION: WHI-TEL YELLOW - COUNTY AGRICULTURAL C.OMMISSIONEP.; PINK & GOLD - PEF%In7EE <br />APPLICANT SIGNATURE f DATE <br />Cl <br />ISSUED BY <br />STATE OF CAUFORNIA <br />�.+�±r� j DEPARTMENT OF PESTICIDE REGULATION <br />OSP 05 109202 FR-ENF-125A (REV. ICV07) Piro 1 of 1 <br />